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THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL RELEASE AND HOLD HARMLESS AGREEMENT

HNRS 352 Fall 2015 Class Trip to Asheville, North Carolina

_________________________________ NAME (PLEASE PRINT) As part of the HNRS 352 Fall 2015 Class Trip to Asheville, North Carolina funded by the UNC-CH Honors Program, I hereby release, hold harmless, and forever discharge The University of North Carolina at Chapel Hill, its employees and agents from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, property damage, or personal injury, including death, that may be sustained by me or to any property belonging to me while I am traveling in connection with this class excursion. I am fully aware of the risks and hazards associated with this activity [including risks associated with travel in a large metropolitan area]. I acknowledge that my participation in this activity is elected by me and not required. I voluntarily assume full responsibility for any risk of loss, damage, or personal injury, including death, and for any property damage that may be sustained by me as a result of participation in this venture. I have read and I understand this document, including the release and hold harmless portions of it. I understand and agree that it is binding on myself, my heirs, my assigns, and personal representatives. I acknowledge that I am 18 years old or more. This the _______day of ______________, 20____. _________________________________(Seal) Date:__________________________ Signature of Student _________________________________(Seal) Date:__________________________ Signature of Witness